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病例介绍患者女,20岁。因少尿,全身浮肿月余、无尿3天于1987年10月2日入院。该患者于1987年8月初双下肢及臀部出现对称性紫癜,经反复实验室检查及骨髓穿刺均未发现异常。诊断为“过敏性紫癜”。经激素治疗“痊愈”出院。出院后12天起,全身乏力、头晕、少尿、恶心,并出现颜面、双下肢浮肿,伴心悸气短。曾在某医院诊断为“急性肾小球肾炎”,服中药半个月,但症状日益加重。近3天来无尿并反复呕吐,吐物为咖啡色,但无咯血及腹痛,以“紫癜性肾炎,急性肾功能衰竭”收入院。既往无肾炎及过敏病史,否认红斑狼疮病史,家族史无特殊记载。查体:体温37.6℃、血压160/100,脉搏110
Case description Female patient, 20 years old. Due to oliguria, systemic edema month, anuria 3 days in 1987 October 2 admission. The patient in early August 1987 appeared symmetrical purpura lower extremity and buttocks, after repeated laboratory tests and bone marrow puncture were found no abnormalities. Diagnosed as “allergic purpura”. Hormone therapy “cured” discharged. 12 days after discharge from the body, fatigue, dizziness, oliguria, nausea, and facial appearance, both lower extremity edema, palpitations shortness of breath. In a hospital diagnosed as “acute glomerulonephritis”, taking traditional Chinese medicine for half a month, but the symptoms are getting worse. Urine and vomiting over the past 3 days, spit things as brown, but no hemoptysis and abdominal pain, “purpuric nephritis, acute renal failure” income hospital. No past history of nephritis and allergy, denied the history of lupus, family history no special record. Physical examination: body temperature 37.6 ℃, blood pressure 160/100, pulse 110